How orthostatic hypotension is treated

Orthostatic hypotension can have different contributors, such as dehydration, prolonged inactivity, illness, or medicines that lower blood pressure. Treatment therefore starts with checking the pattern of symptoms, blood pressure and pulse in different positions, and the wider medical picture. The goal is to reduce fainting and falls while still treating conditions that require blood pressure medicines.

A clinician may suggest gradual position changes, regular gentle movement, or changes to fluid and meal routines when suitable. Compression garments or prescription treatment may be considered for selected people. These options need professional guidance because raising blood pressure or fluid intake may be unsuitable with some heart, kidney, or other conditions.

Rise in stages: move your feet, sit, pause, then stand with support. If symptoms start, sit or lie down. Keep a record of triggers and recovery. Follow the fluid and salt advice given for your health, and never stop or alter prescribed medicines without speaking with the prescriber. Make the home safer by improving lighting, removing loose rugs, and keeping frequently used items within reach.

Arrange a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) if symptoms recur or treatment needs review. [Dizziness](/symptoms/dizziness/) can have causes other than a postural blood pressure change.

Seek medical advice when symptoms are new, repeated, or affecting daily activities. Get urgent help for fainting with chest pain, severe breathlessness, a new neurological change, confusion, or significant injury. Prompt assessment is also needed if illness causes ongoing vomiting, diarrhoea, or inability to drink.

Ask what may be causing the episodes, whether a medicine can be adjusted safely, which fluids or exercises suit you, whether compression is appropriate, and how to monitor symptoms.